ALICE W HODGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000658

License Status

NOT RENEWED

Business

First Name

ALICE W

Last Name

HODGE

Business Name

ALICE W HODGE

Original Issue Date

07/17/1963

Effective Date

07/17/1963

Expiration Date

09/30/1992

City

FONTANA

State

Zip

53125

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005